3 L-CERPs + 0.5 E-CERPs + 3.5 CEUs

Insurance and Lactation Private Practice

Donna Sinnott, BBA, IBCLC
Course description
This presentation will address learner’s understanding of the American healthcare system and the coding requirements needed for all IBCLCs in a private practice setting.  

Part 1 is a general, basic understanding of the insurance game, the vocabulary and fee setting required when part of the current healthcare system.

Part 2 discusses the details needed for documenting and coding for the type of consultations an IBCLC provides.

Part 3 covers ways to complete the monetary part of a consultation, identifying what documents are required by today’s health care providers, and connecting real-life consults into medically-necessary documentation.  
Meet the Instructor

Donna Sinnott, BBA, IBCLC

Donna is an IBCLC who is happy to share her enlightening education and empowering support on various aspects of lactation. Donna has worked in two private practice settings as an IBCLC and since 2005 Donna’s primary job has been in-patient lactation and prenatal class instructor at a busy Family-Centered Maternity Unit in Pennsylvania. Prior to her full-time work, she was also the Office Manager in her husband’s Chiropractic office where she first learned about coding and billing. When the Affordable Care Act rolled out, she felt compelled to become a guide to IBCLCs trying to navigate the insurance game. She is the co-author of the current Crash Course on Billing and Coding for IBCLCs.

In addition to her full-time job, she teaches 2 online courses offering the 90 classroom hours required for aspiring IBCLCS at the International Breastfeeding Institute and speaks locally and nationally on a variety of lactation topics. 
Current Roles supporting breastfeeding: 
  • Full-Time Hospital-Based Lactation Consultant 
  • Lactation Educator and National Speaker
  • Billing Adviser for Lactation Consultants
  • Co-author of the third edition of the Crash Course on Billing and Coding for IBCLCs
  • Instructor at International Breastfeeding Institute, the lactation school of the International Doula Institute
  • Director of Lactation at www.emmawell.com
Patrick Jones - Course author

Learners say 

Donna is highly entertaining and makes billing and coding an approachable subject that is way less intimidating by the time you are done listening to her pearls of wisdom.

Catherine Belonogoff IBCLC

This course was amazing! Donnas tongue in cheek approach to the dry and overwhelmingly cumbersome aspects of coding and billing made this course both enjoyable and understandable. I now have a much better idea of the codes needed for lactation consultants and better yet, why I am using them. It was worth every penny and then some.

Barbara Zimmermann RN BSN IBCLC 

Start learning now!

Knowledge Gap
This presentation will address learner’s understanding of the American healthcare system and the coding requirements needed for all IBCLCs in a private practice setting.
Objectives

01

The learner will be able to understand the current system of healthcare in regards to insurance coverage for lactation. 

02

The learner will be able to understand the difference in the types of procedure codes primarily used by IBCLCs and health care providers in our current system. 

03

The learner will be able to understand how to read an explanation of benefits and how to set the fees they will choose for lactation consultations. 
IBLCE Content Outline
VII. A. 7 Communications Technology    
VII. B. 4 Documentation     
VII. C. 3 Code of Professional Conduct (CPC)
VII. C. 4 Principles of Confidentiality

Course Lessons

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